Navigation Links
Overnight Stay May Not Be Necessary for Stenting: Study
Date:10/5/2011

By Amanda Gardner
HealthDay Reporter

TUESDAY, Oct. 4 (HealthDay News) -- Heart patients who have stenting procedures to open up narrowed arteries fare just as well if they are released the same day as if they are sent home a day or two later, new research shows.

"[Discharging patients the same day] wasn't associated with any increased risk at all," said Dr. Sunil V. Rao, lead author of a study appearing in the Oct. 5 issue of the Journal of the American Medical Association. "We were surprised. Not only were the results similar but . . . they were almost identical."

The current practice at most centers is to keep patients overnight for observation.

"[Same-day discharge] is long overdue," added Dr. Craig Narins, professor of medicine at the University of Rochester School of Medicine. "Some of the recent advances in angioplasty have made the procedure so safe and, for select patients, the likelihood of immediate complications are just so low it just makes sense to do this. It's definitely the wave of the future."

The biggest advance, said Narins, is the procedure is now done through the radial artery (in the wrist) rather than the femoral artery (in the thigh).

"That makes the likelihood of vascular/bleeding complications very, very low after the procedure," he said.

Stenting procedures, or percutaneous coronary intervention (PCI), involve placing a balloon (balloon angioplasty) or a stent in a narrowed coronary artery to open it up and ease blood flow.

More than 1 million of these procedures are performed each year among Medicare beneficiaries, making it one of the most common medical procedures in the United States.

Other countries, including many in Europe as well as India and Canada, are already doing the procedure on an outpatient basis, noted Rao, who is associate professor of medicine at Duke University Medical Center in Durham, N.C.

The safety of stenting as an outpatient procedure has been backed by smaller studies, but this study is the first to look at many centers at once, all told treating more than 100,000 Medicare recipients.

The researchers found no major differences in mortality or readmission to the hospital after same-day stenting either right after the procedure or 30 days later.

The bleeding rate was extremely low -- only 1 percent -- and the same in both groups of patients.

But the authors only looked at very low-risk patients, those who were undergoing elective PCI and who had not arrived in the emergency room with blaring ambulance lights and in the midst of a heart attack.

And if hospitals and heart centers are going to adopt this practice, it's important that they have in place education strategies and telephone numbers for patients to call if they have a question or problem.

"It's a program. It's not just, 'Oh, you're low risk. We're going to get you out of the door,'" said Rao, who is also director of Duke's Cardiac Catheterization Lab.

Narins' hospital started a same-day stenting protocol about six months ago that does include such safeguards.

"We're starting off with patients who are pretty healthy to begin with. These are simple and straightforward angioplasty procedures that go well without complications," he said. "The patients live locally, say within 30 miles of the hospital, and have good support at home. They're not going to be going home by themselves. If something unexpected happens, they'd be able to get in touch with us."

More information

The Radiological Society of North America has more on stenting.

SOURCES: Sunil V. Rao, M.D., associate professor, medicine, and director, Cardiac Catheterization Lab, Duke University Medical Center, Durham, N.C.; Craig Narins, M.D., associate professor, medicine, University of Rochester Medical Center, New York; Oct. 5, 2011 Journal of the American Medical Association


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Overnight My Ice Cream for the Olympics
2. New research shows $6.7 billion spent on unnecessary tests and treatments in one year
3. New diagnostic imaging for lung cancer could prevent unnecessary surgery
4. Strong leadership necessary to provide more sophisticated care for aging population, study finds
5. Local efforts can stem the increasing unnecessary cesarean sections
6. Simple guidelines decreased unnecessary antibiotic use in Quebec, Canada
7. Excluding children from discussions about their hospital care causes unnecessary distress
8. RI Hospital researchers find common test may be unnecessary for bariatric surgery candidates
9. Hospitalizing children with normal CT scans after blunt head trauma is not necessary
10. Treatment gap leaves many older adults at unnecessary risk of fracture
11. Unnecessary Blood Tests Plunge After Cost Reminders: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Overnight Stay May Not Be Necessary for Stenting: Study
(Date:5/4/2016)... ... May 04, 2016 , ... ... for knees, ankles, and elbows. Engineered with athletes in mind, OMNIFORCE offers ... (opposed to ineffective circular knitting, common in the industry) produces premium flat-knit ...
(Date:5/4/2016)... British Columbia – , ... ... Wimmzi , a manufacturer of innovative infant and child products, today ... toys. But their ability to help babies deal with teething pain ... FDA approved, contain no toxic gels, and are BPA-, PVC-, and ...
(Date:5/4/2016)... California (PRWEB) , ... May 04, 2016 , ... With ... Research (AACR) honors the month of May as National Cancer Research Month. According to ... million new diagnoses of cancer with predications of one in four Americans dying as ...
(Date:5/4/2016)... , ... May 04, 2016 , ... Over 40 athletic ... in the state capitol for the annual “Hike to Harrisburg” advocacy day. The ... The Winter Group, PATS lobby Group. The goal for the day was to ...
(Date:5/4/2016)... ... May 04, 2016 , ... International Conference on ... July 25-27, 2016 at Las Vegas. It aims to bring together academicians, scientists, ... and research organizations across the globe; making the conference a perfect platform to ...
Breaking Medicine News(10 mins):
(Date:5/4/2016)... May 4, 2016 Yissum ... announced today that it had signed an exclusive ... , developer of novel protein degradation and immunomodulatory drugs ... commercialization of drug candidates representing first-in-class therapy for hematologic ... not disclosed. The novel technology was developed ...
(Date:5/4/2016)... 2016 Valeritas Holdings, Inc. (OTCQB: ... public offering (APO). This was accomplished via a reverse ... and a private placement of approximately 5 million shares ... Under the terms of the reverse merger, ... Inc. will trade on the OTC Markets under the ...
(Date:5/4/2016)... , May 4, 2016 ... addition of the  "Global Acute Ischemic Stroke ...  report to their offering.       ... Global Acute Ischemic Stroke Market and ... into Acute Ischemic Stroke pipeline products, Acute ...
Breaking Medicine Technology: